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MRS. CAROL L HOLTON FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1043287527

Individual Registrant:
MRS. CAROL L HOLTON FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
37 COLLEGE AVE SOUTH  SAINT JOSEPH, MN 56374 US
Tel: 320-363-5605  Fax: 320-363-6396

Contact information for business:
37 COLLEGE AVE S 3COLLEGE OF ST. BENEDICT - LOOTIE HALL SAINT JOSEPH, MN 56374-2001 US
Tel: 320-363-5605  Fax: 320-363-6396

Registration Information:
NPI: 1043287527
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
MNMNR1219298

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
631175000MN05




HEALTH CARE JOBS MN - Page 1



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